Individual
MRS. LAURA L. MOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
621 SCIENCE DR, MADISON, WI 53711-1074
(608) 265-8318
(608) 263-2215
Mailing address
332 STONEY RIDGE TRL, STOUGHTON, WI 53589-5235
(608) 877-5842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
159039
WI
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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